Individual
KELLY J NASTASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1416 GOBBLER HEAD DR, BOGALUSA, LA 70427-6091
(985) 730-6970
(985) 735-8883
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 730-6970
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10100
LA
Other
Enumeration date
11/08/2018
Last updated
02/26/2025
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